March 5, 2017

Noam's Birth Story



(Relato en ESPAÑOL abajo) 

Nesting hit me like crazy on the evening of February the 4th. It was a Saturday night so that meant one of the only shows we ever watch on TV was on, and Jeff was asking me to join him in the sofa to watch it, but I felt I was way too busy and had a lot to do. That day was my EDD and my hospital bag wasn't even ready, so in a way I had indeed a lot to get done, but then it went way beyond that: I felt the whole apartment was a mess and everything needed to be cleaned and tidied up. I finished my hospital bag and left everything in the lobby, telling my husband that we would be heading to the hospital that same night. I just had it in my guts, you know. I didn't even have any symptoms, I just somehow knew it. That day we had walked a lot, and the whole cleaning thing at night left me exhausted, so we went to bed and I was soon in a deep sleep.

I was awaken by a contraction around 4:30AM. It was a bit painful so I assumed it wasn't a Braxton Hicks contraction like the ones I had been having for the whole pregnancy, but still I wasn't sure. And I didn't really care honestly, I was so tired I just wanted to sleep! By 5:30 I had has several contractions and I must have made some sound, because Jeff woke up and asked me if I was really in labor. I said: I think so... But both of us simply went back to sleep, ha! This may be due to the fact that with Liam's birth, from this very first contraction until he was actually born, 32 long hours went by, so this time we knew better and knew we had to rest while we could! What I didn't know is that this time around things would go so much faster. 

Around 8:30AM my contractions were painful and I couldn't keep quiet so I ended up waking Liam who was sleep in between my husband and I, and got all worried that mama was in pain! I downloaded an app to count contractions and was so amazed at what I saw, my contractions lasted for 1 minute and came in every 3-5 minutes, it was time to head to the hospital! I called my parents and asked to come pick Liam ASAP, and then I headed to the shower. The warm water on my lower back was the best feeling ever, I didn't want to leave! When I finally did stop the water, the contractions had escalated from mild to very strong, and I could only bear the pain by bending over or on the floor on my knees. At this point my parents arrived and my mom, seeing me like that, advised me to head to the hospital right away, but I told her there was no way I was going to deliver a baby on an empty stomach! So she made breakfast for me and I ate it the best I could in between contractions, and only then was I ready to leave. It was 10AM. 

The problem at that point was I was on the floor as soon as a contraction hit in, so it was like impossible for me to make it to the taxi. But I gathered all my strength and stood up after a contraction had just passed and started walking and didn't stop until I reached the taxi, when another one came in. The taxi ride lasted for a bit more than 10 minutes and, surprisingly, the movement of the car seemed to soothe me, and I only had one moment of deep pain. When we arrived I waited for a contraction to finish and started walking right after just as I had done before, and went all the way until the delivery room admissions. Once I got there, I went down on my knees on the floor again, not only because of the contraction that I got but because of the notice I saw on the counter: Please wait for some minutes, we'll be with you shortly. There was no one on sight! Only a waiting room full of relatives who started standing up as soon as they saw me like that, to see if they could help finding some midwife around. I remember several of them asking me if I wanted to sit on the chairs, they were so kind and yet so naive, I couldn't even stand up! Finally they found a midwife and I rushed inside while Jeff filled in the documents needed for admission. 

The midwife asked me to remove my clothes and left me alone. When she came back I don't know how many minutes later, she found me fully dressed and laying on the floor. I simply couldn't move! Jeff came back at that moment as well and he helped with my clothes, so the midwife could finally check how dilated I was. It turned out I was 8cm dilated. All I could say at this moment was: epidural, epidural!! I wanted the anesthesia so bad, and I was worried they would tell me I was too dilated at this point to have it, but luckily it was ok.

As I soon found out, though, the moment Noam had chosen to be born was chosen by many other Barcelona babies as well, and the maternity ward was completely collapsed! The minutes that went by while waiting for the anesthetist were the longest of the whole labor process. When he was finally available for me, he came in and sat down with the intention of explaining the secondary effects of the epidural. I was like, are you kidding me, just give me the anesthesia, I'll sign whatever paper I have to! But then apparently someone needed my bed more than I did?! and they took it away so I had no bed in which to lay for the epidural to be put! Oh my. I went to the toilet and saw my mucus plug was coming out. After a little while they told me we would put the anesthesia in the delivery room directly (I was in a dilation room at the time), so off we went! 

I got my shot and started to relax just to find out some minutes later that the anesthesia hadn't worked on my right side, just on the left one. The midwives said this happens sometimes, if the baby is pressing on one side, the anesthesia may not flow correctly. They said the solution was to put the anesthesia again or simply give birth, and given my state, it was clear: I was to give birth. So they suggested breaking my waters so that Noam would make it down the birth canal faster and I could start pushing already. And so we did, and before we knew it I was ready to push. I was sitting on the bed, holding myself onto a bed-sheet that was attached to a bar on top of the bed, and with a big mirror in front of me to see Noam coming out. The minutes in which Noam's head was fully stuck in my vagina I shall never forget. I don't know how on earth I didn't tear! I pushed for about 10 minutes and my baby boy was finally born. 

Noam arrived at 12:42PM and weighted in at 3515gr, 50cm long. I didn't need any stitch, and that was the happiest thing I could hear at that moment, right after knowing my baby was perfectly healthy, of course! A new love story had just started... I love you, Noam!


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ESPAÑOL

La noche del día 4 de febrero me dió un síndrome del nido bastante importante. Era sábado por la noche, día de Oh Happy Day en la tele, uno de los pocos programas que miramos, pero yo no estaba por la labor. Jeff me llamaba desde el sofá para que lo miráramos juntos y yo sólo sabía decirle que tenía muchas cosas que hacer. Es cierto que había algunas cositas urgentes pues ese día 4 yo había salido de cuentas y mi bolsa del hospital aún no estaba lista. Había preparado la de Noam unos días antes, pero la mía seguía a medias. Pero no sólo me dió por la bolsa, sino por toda la casa. Me parecía que todo estaba desordenado y lleno de polvo y yo venga a recoger. Ese día habíamos estado en el puerto y habíamos vuelto a casa andando, por lo que la verdad yo estaba bastante cansada y la limpieza acabó de dejarme KO. Dejé todas las bolsas en el recibidor y le dije a mi marido que esa noche nos iríamos al hospital. Se lo tomó un poco a broma y puso cara de circunstancias al ver las bolsas prostradas en medio de la entrada, pues si Noam fuera como Liam, aún faltarían 10 días para su llegada! El caso es que una vez me pareció que todo estaba listo y la casa más o menos decente, me fui a dormir y caí rendida, cosa rara en mí, pues suelo tardar bastante en dormirme. 

A eso de las 4 y media de la mañana noté la primera contracción. Me dolió un poco y es lo que me llevó a pensar que era contracción de parto y no de Braxton Hicks como las que venía teniendo durante todo el embarazo. Pero yo ni mucho menos pensaba despertarme, con Liam desde esa primera contracción hasta que parí pasaron 32 horas! Al cabo de una hora no sé si yo estaría haciendo ruido cuando me venían las contracciones, pero Jeff se despertó, y me preguntó: Sí o no? Y yo: Creo que sí... Pero nada, como si allí no pasara nada, los dos a dormir! Yo me iba despertando con cada contracción y llegó un momento en que no podía pasarlas sin ruido. Al final hacia las ocho y algo con tanta contracción acabé despertando a Liam, que dormía entre mi marido y yo, y se puso algo preocupado viendo que mami tenía pupa! Por fin ya todos despiertos me descargué una aplicación para contar contracciones y empecé. Lo que ví me dejó de piedra: las contracciones duraban un minuto y eran cada 3-5 minutos, era hora de ir al hospital y yo aún en pijama y sin desayunar! Llamé a mis padres para que vinieran a por Liam ipso facto, y yo me fuí a la ducha a relajarme un poco. Qué bien se estaba allí, no hubiera salido ya en lo que quedaba de trabajo de parto! Si hasta ese momento las contracciones me habían parecido llevaderas, al salir de la ducha el dolor me doblaba y solo quería estar en el suelo a cuatro patas. A todo esto llegaron mis padres y mi madre diciéndome que me fuera ya al hospital, que me veía muy mal. Y yo que yo no me iba a parir en ayunas! Así que mi madre me preparó el desayuno que comí como pude entre contracciones, y entonces sí dije que nos podíamos ir. El problema era que para entonces ya las contracciones eran demasiado seguidas y a la que venían yo me tiraba al suelo a cuatro patas. Reuní las fuerzas que me quedaban y a la que pasó una contracción me puse a andar y no paré hasta llegar al taxi, dónde me dió la otra al subir. Sorprendentemente, el traqueteo del taxi me fue bien y solo lo pasé mal una vez en los poco más de 10 minutos que duró el trayecto hasta el Hospital de Sant Pau. Al llegar, otra contracción antes de bajar del taxi, y luego vuelta a andar sin pararme hasta paritorios. Al llegar por fin al mostrador me desmoroné al suelo de nuevo, no solo por la contracción que me vino sino por el cartelito que tenían colgado: Les atenderemos en unos minutos, por favor esperen. Dios mío, vomo iba yo a esperar nada más?? Yo, la del plan de parto sin anestesia, que solo quería que saliera el anestesista allí fuera mismo si era necesario y me pinchara la epidural pero YA. Jeff no sabía que hacer y allí no había nadie del hospital, solo una sala de espera llena de familiares que empezaron a levantarse al verme en el suelo y a mi marido perdido. No sé cuantos fueron los que se pusieron a buscar a personal, y los que vinieron a reconfortarme y decirme si quería sentarme en una silla (qué majos e inocentes). Por fin me encontraron a una comadrona y pude pasar mientras Jeff rellenaba los papeles. Me llevaron a la sala de exploración y me pidieron que me quitara la parte de abajo para hacerme un tacto y ver como estaba. Me dejaron allí sola y cuando volvieron me encontraron toda vestida y estirada en el suelo, pero es que no podía moverme! A eso llegó también Jeff y me ayudó a desvestirme. Por fin me senté para el tacto y lo único que salia de mi boca era: que yo no puedo, que yo me muero, EPIDURAL!!! Y la comadrona diciéndome que antes había que ver como estaba. Y me hizo el tacto y dijo: Pues estás... pariendo! En completa de 8cm. Y yo: EPIDURAAAL!!!!!!! 

Bueno pues resulta que el día que Noam escogió para nacer, lo escogieron también unos cuantos más (todos varones por cierto), y estaban las comadronas, el anestesista y las instalaciones en general saturados. El rato de esperar a que el anestesista viniera fue el más largo de todo el parto, y cuando vino me quería leer no sé qué efectos secundarios de la epidural en plan sermón, y yo calla por favor que te firmo una hipoteca ahora si me la pones delante! Firmado el papelito se ve que alguien necesitaba mi cama más que yo, y se la llevaron! Aproveché para ir al baño y vi que estaba perdiendo el tapón mucoso. A todo esto volvió el anestesista y no teníamos cama para ponerme la epidural, yo no podía creerlo. Finalmente se liberó el paritorio y para allá nos fuimos ya directamente. Estaba ya tan al final que tenía miedo que me dijeran que ya no me la ponían, y de hecho me iban preguntando: seguro que quieres la epidural?? Y yo: sííííí! 

Por fin tuve mi bendita epidural conmigo y me relajé un poco, solo para darme cuenta al cabo de un rato de que me había hecho efecto solo en la parte izquierda del cuerpo pero no en el lado derecho. Según las comadronas a veces pasa si el bebé está haciendo presión en esa zona y no pasa bien la epidural por allí. La solución es o poner más epidural o parir, y en mi caso por como estaba ya, sin duda era parir. Pues a parir se ha dicho. Me propusieron romper aguas para que Noam acabara de bajar y acepté, y en nada ya era hora de empujar! Me senté con las piernas abiertas y sujetándome de una sábana atada a una barra que pusieron encima de la cama. No sé explicarlo mejor y no sé si os hacéis una idea, pero así es como estaba, y con un espejo delante que pedí para ver como salía mi Noam! Empujé no sé si serían 10 minutos, los minutos que pasé con la cabeza totalmente encajada en mi vagina no se me olvidarán nunca, yo no sé como pude salir de una pieza de semejante barbaridad. Pero sí, Noam nació, y mi periné seguía intacto y no necesité ningún punto. Después de un bebé sano, es la mejor noticia que me podían dar. Estaba en una nube con mi bebé perfecto, un parto rápido, fácil y respetado. No sé si es porque estaban un poco saturados o porque siempre es así, pero solo estaban en paritorio conmigo 3 comadronas y Jeff. Marta delante mío ayudándome y animándome, otra a mi izquierda también animándome, y otra que preparaba cosas que pudiéramos necesitar por la sala. Me sentí genial, súper tranquila y relajada, nada que ver con toda la gente que recuerdo en el parto de Liam. 

Noam nació a las 12:42 y estaba cubierto en vérnix, lo que me sorprendió ya que Liam había nacido súper limpito! Pesó 3.515g de amor, y midió 50cm. Ya estaba conmigo mi segundo príncipe, y una nueva historia de amor no hacía más que empezar... <3 T'estimo, Noam! 





December 1, 2014

Liam's birth story


My labor story is finally up! I actually wrote the whole thing in Catalan a month and a half ago, and I think the Catalan version is way better. I found it somehow difficult to translate it into English hence I kept procrastinating. I hope I didn't make up too many terms and you guys will be able to enjoy Liam's birth story. Here we go!

1. August 27th at night in the pool during contractions
2. August 28th, 11:45AM, Liam is born
3. August 28th afternoon in our hospital room
4. August 29th, 2PM, we arrive home. Liam is 1 day old

On August 26th, 41 weeks and 2 days pregnant, I decided it was time to try to induce labor naturally: long walks, chocolate, spicy food and sex. It obviously worked wonders, because on August 27th at 3AM, I went into labor. I was sound asleep when I was woken up by the need to go to the toilet. Nothing new, you may think, since having to pee two or three times per night during pregnancy is totally normal. But it was not the same, it was more like a need to poo. I went to the toilet but nothing happened, so I went back to bed, only to find myself in the toilet 15 minutes later again. I thought it was a bit weird and I knew the urge to poo was a labor symptom, but at that moment I didn't put two together. Back to bed, at approximately 3:30AM, I felt my first labor contraction. I knew it was not like the Braxton contractions I had been feeling on the last few days, but I didn't want to get too excited just in case. Ten minutes later I had another contraction, and my excitement was pretty high by then. Some more minutes later came the third contraction and I had barely any doubt: I was in labor!!!! I woke the hubby up and said the sentence I had been wanting to say the most for the past few days: Liam is coming!!!

Truth be told, I still wasn't 100% sure that was it, but I was pretty sure. I think J didn't really believe it either when I woke him up, but after a while and seeing how my contractions kept coming, we both knew. We hugged and I remember feeling ecstatic. I dreaded an induction, since it would have been a dead sentence to my idea of having a natural labor, so going into labor naturally was the best news ever.

We stayed in bed for a while, and eventually I went to get my fitness ball and put it in our bedroom next to our bed. As contractions kept getting stronger, I spent some minutes on bed, which was the most comfortable for being able to rest in between contractions, and on the ball, which was the most comfortable for the pain.

Around 7ish in the morning I decided it was time for breakfast, and I ate something while sitting on the ball, way better than sitting on a chair! I spent the rest of the morning either resting on bed or on the ball, until 11AM when I got hungry and ate a bowl of pasta. In one of the many books I read during pregnancy on natural childbirth, the author recommended eating pasta when labor started, because carbohydrates give fuel to the body for a long time, which is exactly what's needed for a natural childbirth, seeing how it can be as energy consuming as running a marathon. A while after lunch, I really felt like taking a bath, so I prepared the bathtub and enjoyed a while in the water. The hot water was SO good at reducing the pain of contractions. I went back to bed and managed a light sleep for a couple hours until 3PM, when the contractions didn't allow me to rest anymore. I ate something else, and back to the same: ball, bathtub, and walking on the hallway. Walking is such a pain reliever too!

At 6PM, I decided it was time to go to the hospital. You're supposed to have 3 contractions every 10 minutes for 1 or 2 hours before going to the hospital, and I had one every 5-6 minutes, but after 15 hours I thought it was about time. We left home at 6:30PM and arrived to the hospital at 7. I wasn't even sure whether I was 3cm dilated, which is the minimum you need to be so that they take you in at the hospital, otherwise they send you back home. We arrived to the hospital and J and I went in immediately, not knowing that was the last time I was gonna see my parents, who accompanied us to the hospital, until after giving birth. The hospital made me so nervous I started shaking. In that state, my body was obviously secreting adrenaline, and my contractions stopped completely. They checked my contractions and I just had two contractions in 20 minutes.

Then they got me checked for dilation with a pelvic exam. It was the first time ever I had a pelvic exam performed, since I always rejected them during pregnancy. It wasn't painful as I thought it would be. In fact I didn't feel anything. What I didn't like was both midwives performed a pelvic exam, which was obviously unnecessary. Having so many pelvic exams during my labor process was one of the worst things I remember from the whole thing.

It turns out I was 4cm dilated, so even though I barely had any contractions at that moment, they decided to keep me. I was relieved because even though I loved being home, once I decided to go to the hospital I just really didn't want to go back! It was time to remove the earrings and rings, in case I needed a C-section. Unfortunately, my hands were so swollen there was just no way to take out both my engagement and my wedding ring. We tried in every possible way, and it just couldn't be done. I obviously didn't want them to cut them, so I begged them to just leave them like that and cut them only if I really ended up needing a C-section. Luckily they agreed and I kept my rings, because I would have been really upset had they cut them, and seriously, do you think this is what a woman in labor should be thinking about?!

Once this was settled, I had to deal with having an intravenous line placed in my arm. One of the reasons I wanted a natural childbirth was that I HATE needles, and now I had to have that crazy big needle on my arm for the whole time OMG >.< I really didn't want one, but it was hospital routine and there was nothing to be done against it.

As soon as we arrived to the delivery rooms, I asked whether the pool room was available. I knew there was only one, so I had been worrying a bit about it being occupied. Well, bad news... it was! But on the other hand, the midwives told me that woman had been there since the morning, so she would probably be finishing anytime soon. I was placed in a regular delivery room, just with a bed and a ball, and I spent some hours there with the amazing help of my husband, who kept massaging my lower back, and a hot water bag that did wonders in helping me coping with pain as well. 

Around 10:30PM, they told me the pool room was now free and clean for me to go. Yay!! Before going, though, the midwife performed another pelvic exam. I specifically told her I didn't want one, but she said it was necessary to know how I was doing before going inside the pool. I was 6cm dilated. We went to the birthing pool room and the midwife helped me get into the pool immediately. In fact, I still didn't feel like going inside, but before I knew it I was already in. Contractions were way more bearable in the pool, and the room was absolutely gorgeous, I was delighted! I kept eating energy bars and drinking plenty of water and juice to keep up with the effort. The first thing I disliked about the room was the fact that they had lost the wireless fetal monitor to use in the tub and I had to get out of the pool every 45-60 minutes to check the baby's heart rate with the regular monitor. Seriously?!

Around midnight, I had another pelvic exam (sooo fed up with those already!!) and I was 7cm dilated. At that point I was SO sleepy, sleep was all I wanted to do. In fact, I fell asleep several times in between contractions in the pool. I think my relaxation was not how a 7cm dilated woman is supposed to feel, but I think my body was trying to give me just what I wanted: a break. Human body is so intelligent after all! But the hospital has a routine to follow, and it's not particularly a patient one, so a couple hours later, after another pelvic exam (aaaarrrrgggg!!), my midwife told me I was still 7cm and started talking about breaking my waters artificially, saying it would speed up labor. I told her no way, I wanted a natural birth and that was the absolute opposite. An hour later, there was another pelvic exam and pressure to break my waters once again. I was getting way too angry with that impatient midwife. It's impossible for a woman to give birth in these circumstances, stressed out and scared that someone will break her waters. Sometime between 4 and 5AM, Laura (the impatient midwife) told me breaking my waters was now or never, like an ultimatum. I should have said "never, and leave me alone". But somehow I finally gave in and got my membranes stripped. It was the saddest moment of my whole labor. Feeling how that warm water, my baby's world, came out of me because someone broke the bag, and then seeing the bed all wet and stained with blood, it was heart breaking. After this moment, my labor work stopped completely. It's what doctors call "Failure to Progress". And seriously, it's no wonder. With this scenario how could one's labor not stop? Women are supposed to give birth in a relaxed environment, free from fear, pressure, or stress. This conditions were obviously not met at the hospital.

Later on, I got another pelvic exam and the midwife told me I was going from bad to worse, and was now back to 6cm. I was really angry by then, she was the one who practically forced me to break my bag claiming that it would speed up labor, and all it did to me was stop my labor process completely. She told me that at this point she recommended getting Pitocin (synthetic oxytocin) to increase contractions and, of course, epidural anesthesia together with that. She said that was my best option if I didn't want the morning shift to bring me in for a C-section. After hearing this I got even angrier. I wouldn't have a C-section unless I wanted to, and if I really ended up needing one, the main reason would be the artificial water break she performed on me.

The hubby and I discussed the whole thing and around 7AM we left the pool room and went to a regular delivery room (the one I had been in when I first arrived), to proceed with Pitocin and epidural. Bye bye to my longed natural childbirth. I knew it was not my fault though, but rather the lack of a good environment at the hospital. I have no doubt at all I could have birthed this baby without drugs, that's how it has always been done after all, right?

Around 8AM everything was ready: intravenous synthetic oxytocin and epidural analgesia. I was left alone with the hubby for an hour and when they came to see how I was doing (hello, pelvic exam), I was just the same. Liam had fallen asleep with the epidural (I did, too!), and we hadn't moved forward at all. The midwife from the morning shift, Maria, who was really nice, told me to keep changing position every now and then, left side, right side... to see if Liam started moving downwards with my movement. They also increased the Pitocin. After a while my left side started hurting like nobody's business. It was the most painful moment of the whole labor process. Synthetic oxytocin makes really painful contractions, nothing like my natural contractions, it was just unbearable!!! They called the anesthesiologist to put more anesthesia, and the time it took for him to arrive and for the drug to take effect was like the worst thing ever.

After a while I started feeling better and dozed off for a couple hours. Then the midwives came in again and I got checked for the last time. I was fully dilated and Liam was practically out! I put my hand in my vagina and was able to touch his head, it was such a blissful moment. I was crying with absolute joy and excitement, I had just touched my son for the very first time!! We set everything for delivery: my legs were placed up in lithotomy, but I didn't have to be lying down, my back was up, as if I were sitting. I removed my clothes and stood completely naked for the arrival of my baby.

The epidural prevented me from feeling pain, but I was still able to feel the contractions, which saved me from having to rely on the midwives about when to push. I pushed about 4 or 5 times, and in 15 minutes, at 11:45AM on August 28th, my precious baby boy was born with no nuchal cord, with lovely skin, and crying loudly. 

I felt how his body slipped out of me, and he landed in a towel the midwife had prepared for that purpose. I immediately got him and placed him on my chest, skin to skin, not to be separated again. I had asked for them not to clamp the umbilical cord until it stopped pulsing, it's an important thing for the baby's wellbeing, and for the hubby to cut it when the moment was right. I got more Pitocin to help me deliver the placenta, and it came out pretty fast. Maria told me it was a gorgeous placenta :D thank you very much!

Liam latched on my breast immediately and definitely like a pro. He was weighed right next to me (3,350 grams), and J held him a moment. Those were the only seconds he was not with me. Apart from that, we were skin to skin for the whole time, in the delivery room where we stayed for an hour, and for several more hours up in the hospital room, until we finally decided to get him dressed at 5PM. They only took Liam away for 2 minutes for the pediatrician to see him. That was it. He was never separated from me again in the 24 hours we stayed in the hospital. The following morning at noon we were discharged and we went home.  

This is the birth story of my first son, Liam. It was not the natural labor I wanted, but all went well and I'm happy with the result. My son was able to come out of me through my vagina, with no episiotomy, forceps, vacuum and the kind. I just got a tiny tear that required three stitches. Liam was perfect when he was born, and he still is. My life has changed for so much better :)